Teaching Problem
Task 1.
Patient, 26, at the n 'yatu day after birth, complains of heaviness in Prospect and eyelashes mammary gland, which decreases after pumping milk. Overall condition is not violated. Palpation in the upper inner quadrant of the right breast hard movable tumor, pressing Recording that vydilyayet b Xia milk. What is the most likely diagnosis in this case?
A. Acute serous mastitis.
B. Acute galactostasia.
C. Acute destructive reflux at noznyy mastitis.
D. Infiltrative Acute mastitis.
Task 2
The patient, in '20, that feeds, complains of severe pain in the right breast, especially when pressed and ztsedzhuvanni, weakness, increased rate is ture to 37.5 ° C, cool. Before noted painless education in Prospect and eyelashes mammary gland, which decreases after feeding or ztsedzhuvannya. Palpation in the upper inner quadrant of the right breast of acute painful infiltrate the skin over it hiperymovana. The abdomen was normal. Physiological discharge is normal.
What is the most likely diagnosis in this case?
A. Acute serous mastitis.
B. Acute galactostasia.
C. Acute destructive phlegmonous mastitis.
D. Erysipelas breast cancer.
E. Abscess of the breast.
Task 3
During the medical examination of the patient A, '52, found a tumor in the left breast. Patient few years marks the fibrous bands in both breasts, sometimes - discomfort. Menopause 8 years. Axillary node to 1 cm compact. Under the areola left breast tumors up to 2 cm of th r ally surface. The diagnosis - breast cancer.
Select the data that indicate breast cancer.
A. Hilly area located under the areola.
B. Hilly tumor located under the areola, the size of more than 2 cm.
C. There is a nodular swelling increased in compact axillary evils in the background of mastitis in history.
D. Enlarged axillary lymph node is crucial.
E. Dimensions hilly tumor in the breast is conclusive.
Problem 4
Patient M, '62, complains of painless solidification in the presence of L and lash the breast, which found six months ago. In the upper left quadrants of the breast is determined by painless curing 2 x 1.5 cm. Skin over it is not changed. Suspected breast cancer. What research should be done in the first place?
A. Mammography.
B. CT imaging of breast cancer.
C. Total blood.
D. Duktohrafiya breast cancer.
E. Biochemical analysis of blood.
Task 5
Patient M, '43, complains about the presence of blood in herbaceous nipple discharge from the left breast. Peripheral lymph nodes were normal. Baby not changed. From left breast nipple sanious meager selection. Set and mined the initial diagnosis - intraductal papilloma. What is the treatment in this disease ?
A. Preoperative radiotherapy + surgery.
B. Chemotherapy.
C. Operative treatment.
D. Surgery + postoperative radiotherapy.
E. Preoperative chemoradiation therapy + surgery.
Problem 6
Patient, '23, complains presence sanious discharge from the nipple of the right breast for 1.5 months. Mammary glands same district at zmiriv not deformed. On palpation the tumor is not defined. Set f ing initial diagnosis - vnutrishnoprotokova papilloma. What additional m e tody survey more specific in this case?
A. Mammography.
B. Duktohrafiya breast and cytology discharge from the nipple.
C. ¢ Computer tomography of the chest and its organs.
D. Axillary lymphography collector.
E. Ultrasound
Problem 7
Patient K, 42, complains of painless solidification in the presence of L and lash the breast, which saw a month ago. Peripheral lymph nodes were normal. Between the upper quadrant of the left breast tight elastic consistency tumor 2 x 3 cm, with no skin is linked with hills village Meanwhile surface. The foregoing data indicate the correct diameter d noz.
A. Fibroadenoma.
B. Brush the breast.
C. Junction breast.
D. Breast Cancer.
E. Mastitis.
Standards of answers: 1 - B, 2 - A, 3 - C, 4 - A, 5 - C, 6 - B, 7 - D.